Superficial corneal crosslinking during laser in situ keratomileusis.
J Cataract Refract Surg
; 41(10): 2165-70, 2015 Oct.
Article
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| MEDLINE
| ID: mdl-26703292
ABSTRACT
PURPOSE:
To determine the safety of superficial corneal crosslinking after laser in situ keratomileusis (LASIK).SETTING:
Institut für Refraktive und Ophthalmo-Chirurgie, Zurich, Switzerland.DESIGN:
Prospective study.METHODS:
Eyes with an ectasia risk score of 2 or higher were treated with standard LASIK (90 µm flap) for myopia correction, after which a rapid corneal crosslinking was performed in the interface (riboflavin 0.5% for 2 minutes, 9 mW/cm(2) for 5 minutes) (Group 1). The follow-up was up to 1 year. The prevalence of complications was statistically compared with that in a group of eyes matched regarding age, sex, and attempted refractive correction that were treated with standard LASIK only (Group 2).RESULTS:
One month postoperatively, 5 eyes in Group 1 lost 1 line of corrected distance visual acuity (CDVA) compared with 1 eye in Group 2 (P < .05). One year postoperatively, all eyes regained their preoperative CDVA, indicating a complication rate of less than 5%. The refractive success was identical in both groups. Early postoperative complications such as erosions (16%), diffuse lamellar keratitis (DLK) stage 1 (38%), and DLK stage 2 (5%) were statistically significantly more frequent after superficial corneal crosslinking, leading to a statistically significantly reduced uncorrected distance visual acuity at 1 month (P < .001).CONCLUSIONS:
Based on 1-year results, superficial corneal crosslinking might be considered a safe adjunct to LASIK, with a delayed visual rehabilitation and a higher prevalence of transient side effects. It is not proved whether superficial corneal crosslinking can prevent iatrogenic keratectasia. FINANCIAL DISCLOSURE No author has a financial or proprietary interest in any material or method mentioned.
Texto completo:
1
Colección:
01-internacional
Asunto principal:
Fotoquimioterapia
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Fármacos Fotosensibilizantes
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Reactivos de Enlaces Cruzados
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Queratomileusis por Láser In Situ
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Láseres de Excímeros
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Queratocono
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Miopía
Tipo de estudio:
Observational_studies
Límite:
Adolescent
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Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Cataract Refract Surg
Asunto de la revista:
OFTALMOLOGIA
Año:
2015
Tipo del documento:
Article